Active NPI
Nanette Lasco, MSW, LCSW
- Clinical Social Worker
- Crystal Lake, IL
National Provider Identifier
1114097177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 390 E Congress Pkwy
Suite J
Crystal Lake, IL 60014-6202 - Phone
- (815) 356-5050
- Fax
- (815) 356-5094
- NPI assigned
- Nov 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | IL | Primary |
Addresses
Primary practice location
390 E Congress Pkwy
Suite J
Crystal Lake, IL 60014-6202
Mailing address
1701 E. Woodfield Road
Suite 1000
Schaumburg, IL 60173-5113
Phone (815) 356-5050
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1633897 | Other | IL | BCBS IL GRP NUMBER |
| 320078 | Other | IL | VALUE OPTIONS GRP NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149-004716 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1114097177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 E. WOODFIELD ROAD",
"address_2": "SUITE 1000",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601735113",
"telephone_number": "815-356-5050",
"fax_number": "815-356-5094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "390 E CONGRESS PKWY",
"address_2": "SUITE J",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600146202",
"telephone_number": "815-356-5050",
"fax_number": "815-356-5094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASCO",
"first_name": "NANETTE",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS IL GRP NUMBER",
"identifier": "1633897",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS GRP NUMBER",
"identifier": "320078",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Crystal Lake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.